Individual provider · Type 1 NPI

Amelia Vongphairoth

Counselor · San Andreas, CA

NPI number 1194593434 Active

Practice location

891 Mountain Ranch Rd
San Andreas, CA 95249-9713

Call (209) 754-6464 Map

Mailing address

2239 Willow Creek Rd
San Andreas, CA 95249-9789

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X136249 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1194593434

Amelia Vongphairoth's National Provider Identifier is 1194593434, issued on Dec 15, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Andreas, CA. The record was last updated on Dec 30, 2025.